Special Event - St. Joseph County Crop Walk - September 24

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• City of South Bend Special Events Committee Indemnity & Hold Harmless Agreement Date: 8/15/2023 Event Date: 9/24/2023 Event Name: St Joseph County Crop Walk Organization: Church World Services Applicant (Contact) Name: Tom Whipke Applicant (Contact) Phone: 574485-9245 Alt. Phone: Email: twhjpkey(&att_net Address: 11390Miner St City/State/ZIP: South Bend IN 46617 Event Location (Please describe): Starting at Zion UCC walkers will walk along the East Race and/or to Broadway Christian Parish and back. Length of Event (Dates/Times): 09/24/2023 1pm-5pm Insurance Amount: This event is insured for no less than $700,000 per occurrence and $1,000,000 in aggregate, • and the certificate of insurance includes a rider naming City of South Bend, Special Events Committee, and Board of Public Works as additionally insured for the event. Organization Name: St Joseph County Crop Walk agrees to indemnify, defend and hold harmless the Civil City of South Bend, Indiana, from any liability, loss, costs, damages or expenses, including attorney fees, which the Civil City of South Bend, Indiana, may suffer or incur as a result of any claims or actions which may be made against the City, its agents, employees, or subdivisions by any person, including a participant in the activity, arising out of the approval of this request by the Civil City of South Bend, Indiana, through the Board of Public Works, to close a portion of the public right-of-way for the event described above, or for any harm or damage alleged to have occurred because of the holding of the special event. The undersigned certifies that he/she is authorized to bind the APPLICANT to these terms. Signed on this Date: 8/15/2023 Authorized Organizer Signature Thomas W Whipkey • Printed Name and Title